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10.2196/19855

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32496206!7295000!32496206
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suck abstract from ncbi


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pmid32496206      J+Med+Internet+Res 2020 ; 22 (6): e19855
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  • Epidemiological Observations on the Association Between Anosmia and COVID-19 Infection: Analysis of Data From a Self-Assessment Web Application #MMPMID32496206
  • Denis F; Galmiche S; Dinh A; Fontanet A; Scherpereel A; Benezit F; Lescure FX
  • J Med Internet Res 2020[Jun]; 22 (6): e19855 PMID32496206show ga
  • BACKGROUND: We developed a self-assessment and participatory surveillance web application for coronavirus disease (COVID-19), which was launched in France in March 2020. OBJECTIVE: Our objective was to determine if self-reported symptoms could help monitor the dynamics of the COVID-19 outbreak in France. METHODS: Users were asked questions about underlying conditions, sociodemographic status, zip code, and COVID-19 symptoms. Depending on the symptoms reported and the presence of coexisting disorders, users were told to either stay at home, contact a general practitioner (GP), or call an emergency phone number. Data regarding COVID-19-related hospitalizations were retrieved from the Ministry of Health. RESULTS: As of March 29, 2020, the application was opened 4,126,789 times; 3,799,535 electronic questionnaires were filled out; and 2,477,174 users had at least one symptom. In total, 34.8% (n=1,322,361) reported no symptoms. The remaining users were directed to self-monitoring (n=858,878, 22.6%), GP visit or teleconsultation (n=1,033,922, 27.2%), or an emergency phone call (n=584,374, 15.4%). Emergency warning signs were reported by 39.1% of participants with anosmia, a loss of the sense of smell (n=127,586) versus 22.7% of participants without anosmia (n=1,597,289). Anosmia and fever and/or cough were correlated with hospitalizations for COVID-19 (Spearman correlation coefficients=0.87 and 0.82, respectively; P<.001 for both). CONCLUSIONS: This study suggests that anosmia may be strongly associated with COVID-19 and its severity. Despite a lack of medical assessment and virological confirmation, self-checking application data could be a relevant tool to monitor outbreak trends. TRIAL REGISTRATION: ClinicalTrials.gov NCT04331171; https://clinicaltrials.gov/ct2/show/NCT04331171.
  • |*Self-Assessment[MESH]
  • |*Surveys and Questionnaires[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus/*pathogenicity[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*epidemiology/*virology[MESH]
  • |Disease Outbreaks[MESH]
  • |France/epidemiology[MESH]
  • |Humans[MESH]
  • |Middle Aged[MESH]
  • |Olfaction Disorders/*epidemiology/*virology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology/*virology[MESH]
  • |SARS-CoV-2[MESH]


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